Robert Harper1, Eric Klineberg2. 1. Department of Orthopedic Surgery, University of California Davis, 4860 Y Street Suite 3700, Sacramento, CA, 95817, USA. raharper@ucdavis.edu. 2. Department of Orthopedic Surgery, University of California Davis, 4860 Y Street Suite 3700, Sacramento, CA, 95817, USA.
Abstract
PURPOSE: The purpose of this article is to review the evidence-based approach for surgical complications following disc herniation. METHODS: A search of the primary English literature was conducted for research examining the outcomes and complications of surgical discectomy. Special regard was given to high-quality prospective randomized studies. RESULTS: The most commonly reported complications of surgical treatment of disc herniation are included in this review. Medical complications, and surgical complications including infection, durotomy, neurological injury, symptomatic re-herniation, and revision surgery are defined and systematically reviewed in detail for incidence, evaluation, and management. CONCLUSION: This article provides the clinician and surgeon with a review of the evidence-based evaluation and management of surgical complications following disc herniation, offering best practice guidelines for informed discussions with patients in shared decision-making.
PURPOSE: The purpose of this article is to review the evidence-based approach for surgical complications following disc herniation. METHODS: A search of the primary English literature was conducted for research examining the outcomes and complications of surgical discectomy. Special regard was given to high-quality prospective randomized studies. RESULTS: The most commonly reported complications of surgical treatment of disc herniation are included in this review. Medical complications, and surgical complications including infection, durotomy, neurological injury, symptomatic re-herniation, and revision surgery are defined and systematically reviewed in detail for incidence, evaluation, and management. CONCLUSION: This article provides the clinician and surgeon with a review of the evidence-based evaluation and management of surgical complications following disc herniation, offering best practice guidelines for informed discussions with patients in shared decision-making.
Authors: Lauren A Protzer; Steven D Glassman; Praveen V Mummaneni; Mohamad Bydon; Erica F Bisson; Mladen Djurasovic; Leah Y Carreon Journal: J Orthop Surg Res Date: 2021-08-27 Impact factor: 2.359